Active NPI
Kristen Adams, PT
- Physical Therapist
- Portland, OR
National Provider Identifier
1649550278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4257
- Practice address
- 3303 SE Division St
Portland, OR 97202-1456 - Phone
- (503) 232-1000
- Fax
- (503) 232-1143
- NPI assigned
- Aug 26, 2011
- Last updated
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4257 | NM | Primary |
Addresses
Primary practice location
3303 SE Division St
Portland, OR 97202-1456
Mailing address
1704 Lena St
Ste A1
Santa Fe, NM 87505-2002
Phone (505) 982-5868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Works, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Redmond, OR
- NPI 1740031285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1649550278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 LENA ST",
"address_2": "STE A1",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052002",
"telephone_number": "505-982-5868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021456",
"telephone_number": "503-232-1000",
"fax_number": "503-232-1143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "KRISTEN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-26",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.